Organization Active NPI

Huntington Beach Clinical Laboratory

  • Clinical Medical Laboratory
  • Huntington Beach, CA
National Provider Identifier
1992942783
Registry record updated Jan 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
CLF 334485 Issued in CA
Legal business name
HUNTINGTON BEACH CLINICAL LABORATORY
Practice address
8071 Slater Ave
Suite 100
Huntington Beach, CA 92647-6960
Phone
(714) 841-7789
Fax
(714) 841-9966
NPI assigned
Jan 15, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Miss Lota N Relato, NURSE
Title
Owner
Phone
(714) 841-7789

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X CLF 334485 CA Primary

Addresses

Primary practice location

8071 Slater Ave
Suite 100
Huntington Beach, CA 92647-6960

Mailing address

8071 Slater Ave
Suite 100
Huntington Beach, CA 92647-6960
Phone (714) 841-7789

Other identifiers 1

IdentifierTypeStateIssuer
CLF 334485OtherCACLIA # 05D1080532

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1231977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231977600000",
    "number": "1992942783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8071 SLATER AVE",
            "address_2": "SUITE 100",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926476960",
            "telephone_number": "714-841-7789",
            "fax_number": "714-841-9966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8071 SLATER AVE",
            "address_2": "SUITE 100",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926476960",
            "telephone_number": "714-841-7789",
            "fax_number": "714-841-9966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUNTINGTON BEACH CLINICAL LABORATORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-15",
        "last_updated": "2009-01-15",
        "status": "A",
        "authorized_official_last_name": "RELATO",
        "authorized_official_first_name": "LOTA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-841-7789",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "NURSE"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "CLF 334485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA # 05D1080532",
            "identifier": "CLF 334485",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.